Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Adult Vitality Healthcare LLC

Organization Primary Care Nurse Practitioner · NPI 1407626989

Adult Vitality Healthcare LLC provides Primary Care Nurse Practitioner services in Lakeland, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7969 Oak Run Cir
Lakeland, FL 33809-7253
Phone: (863) 608-0559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1407626989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Gobourne — Mgr · (863) 608-0559
Other names Adult Vitality Healthcarellc
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address2946 Creeks Crossing Blvd, Lakeland, FL 33810-0216

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